Vertigo

in ,

Dizzy! My head is spinning; Like a whirlpool it never ends; And it's you girl making it spin...or is it Benign Paroxysmal Positional Vertigo?  Or Labyrinthitis?  Or a posterior stroke?  Luckily this podcast with Emergency Medicine consultant and PHEM enthusiast Dr Chris Gough will help us through the dizzying world of vertigo.

As mentioned by Chris here is the HINTS exam:

Who to perform the HINTS exam on, how to perform it, and how to interpret the result.

Here is the Dix-Hallpike Manoeuvre from BMJ Learning:

http://learning.bmj.com This video is taken from a BMJ Learning module on Vertigo. http://learning.bmj.com/learning/module-intro/vertigo.html?moduleId=10016740 This manoeuvre is used as a diagnostic test, used particularly when you suspect benign paroxysmal positional vertigo You should explain the procedure to the patient, and warn them that they may experience vertigo symptoms during it, but that the symptoms usually subside quickly.

And here is the Epley Manoeuvre also from BMJ Learning: 

http://learning.bmj.com This video is taken from a BMJ Learning module on Vertigo: http://bit.ly/2hr6RC1 The Epley manoeuvre can also be diagnostically helpful because repeated treatment failures using the Epley manoeuvre may suggest that the provisional diagnosis of BPPV may be incorrect.

The NICE Clinical Knowledge Summary for Vertigo can be found here

Here is the RCEM Learning Package for Vertigo

Here is our Take Visually for this episode: